| NPI | 1700312238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01085525A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 70716-20) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2022-02-03 |